Individual
CHRISTOPHER D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC60151055
WA
1041C0700X
Clinical Social Worker
Primary
LW60275447
WA
Other
Enumeration date
07/02/2008
Last updated
05/14/2024
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